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Individual

AGATHA SOPHIA BEYNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6870 PERIMETER DR, SUITE B, DUBLIN, OH 43016-8047
(614) 777-9804
(614) 777-9806
Mailing address
6870 PERIMETER DR, SUITE B, DUBLIN, OH 43016-8047
(614) 777-9804
(614) 777-9806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-5015
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2150443
OH
Enumeration date
03/14/2006
Last updated
08/19/2013
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